HomeMy WebLinkAbout2470 FARADAY AVE | 6200 EL CAMINO REAL; ; 82-456; Permitell z 0 ~ a:: C ... (.) l&I 0
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O I hei~.,y affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
lull force and effect.
Lie No-----Class _ _ __ _
I hereby affirm that I am exempt from the Contrac-10<' s License Law fo, the following reason (Sec. 7031.5 Bus mess and Professions Code. Any ~1ty or county which re-qu1res a permit to construct. alter. improve. demolish, or repair any structure. pnor to Its Issuance also requires the ap-
plicant for such perm,t to tile a Signed statement that he is licensed pursuant to the prov,s,ons of the Contracto,'s License Law (Chapter 9 commencing with Section 7000 of
Olv1s1on 3 of the Business and Professions Code) or that 1s ex-empt therefrom and the baS1s for the alleged exempl!On. Any
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dred dollars ($500).
D I, as owner of the properly, or my employees with wages
as their sole compensatioo, will do the work, and the struc-ture 1s net Intended or ottered fo, sale (Sec 7044, Business
and PrnfesS1ons Code The Contract0<'s License Law does
not apply 10 an owner of properly who builds or improves thereon and who does such work himsell or through h1S own
employees, provided that such Improvements are not intend-ed or ottered for sale. II, however, the building 0< improve-ment IS sold within one year ot completion, the owner-builder will have the burden of proving that he did not build or Im·
prove for the purpose of sale)
O t, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto,'s license
Law does net apply to an owner of property who builds or im-proves thereon, and who contracts tor each pro,ects w11h a contractor(s) license pursuant to the Contractor's License Law).
O As a homeowner I am improving my home, and the follow-
ing conditions exist. 1 The work IS belng perfo<med pnor to sale. 2 I have lived In my home to, twelve months
3. r':v~ :/'~:1':t ,'~;': =~ption during the last three years.
D I am exempt under Sec.------, B&P.C. tor this reason ___________ _
O I hereby au.rm that I haw-e a cert1hcate of consent
to self-insure, or a cert1f1cate of Workers·
Compensation Insurance. or a cen,tted ccpy thereof lSec 3800, Labof Codef
POLICY NO
COMPANY
D Copy 1s hied with the city
0 Cert1t1ed copy 1s hereby furmshed
CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(This section need not be completed 11 lhe permit
1s tor one hundred dollars ($100) or less)
D I certify that ,n the performance of lhe work for
which this permit ,s issued, I shall not employ any
person in any manner so as to become sub1ect to
!he Workers· Compensatton Laws ot California
NOTICE TO APPLICANT II. alter makm1 th1s Cen1
flcate of Exemption. you should become sub1ect t".> the Wortters' Compensation prov1s1ons of !he Labor
Code, you must torthwtlh comply with such prov1s,ons or this permit shall be deemed revoked
O I hereby affirm that there 1s a construction
lending agency tor the perlo,mance ol !he wont. lor
which this permit ,s issued (Sec 3097 C1v11 Code1
Lenders Name __________ _
Lenders Address----------
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS -
CARLSBAC JILDING DEPARTMENT At • LICAT~ & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (714) 438-5525
JOB AOORESS
Ca>"''~o Re~l e .... ,rb.1J c~ 92008 A~;,T.17ir~'ll~
BUSIN~SE# I 4-;:;:ll~N
PERMIT NUMBER
G.200 £( ~
(~ OWNER"S NAME I OWNE R·S PHONE CONTRACTOR ' i CONTRACT1'RS PHONE • ZONE ,:7.."' '3ec~ m 2 l'\. .1..~ J + r-v n-te 11 f-.r ,'1 le -r f2e \"';; e'r'a-h~""' 2., V92J-fi9' 3
.,,
01
OWNER'S MAIL•NG ADDRESS CONTR'XCToR·s ADDRESS Nor-~l>c LICENSE NO. PLAN 1.0. # BLDG USE CODE
SQrn,e.. J51ot (3 ,~kbll'rl'\. a--v~o 3a7B'-S-
LOT I BLOCK I SUBOIVISION I ASSESSOR PARCEL NO DESIGNER LICENSE# STANDARD PLAN# BUILDING SO. FOOTAGE
S' IJ -,,.,e rf'f"e e2-e. /5~ OESCRLPTION OF WORK . OES1GNVfl'S A';'r.:S &r.i '/.50 2, i;1h;;:;;~'3
~~'{.. St' x-i-o , .. J2S EL,.,, ~ a>,)(c~ I I w ~ , ,J LJWL.£:_ -F/P FLR ELEV. NO OCC GP EDU 0
STORIES
vO NO
CENSUS TRACT I GP LANO USE I PARK ING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA CONST
YO ND vO NO vO NO Not Valid Unlt!ss Machine Certified
QTY. PLUMBING PERMIT · ISSUE 2 .Q QTY. MECHANICAL PERMIT· ISSUE -?,t~ SUMMARY/ACCOUNT NUMBER _, -
EACH FIXTURE TRAP / INSTALL FURN. OUCTS UP TO 100.000 BTU BUILDING PERMIT 01-00-00-8220 ~ 'r-0, '1C
EACH BUILOING SEWER ./ OVER 100,000 BTU/ SIGN PERMIT 01-00·00-8221
EACH WATER HEATER ANO /Ofj)((NT
-
BOILER/COMPRESSOR UP TO 3 HP _/ ~. r-, ::;l,J PLAN CHECK 01·00·00·8806
EACH GAS SYSTEM 1 TO 1,,8"(JTLETS BOILER/COMPRESSOR 3-15 HV TOTAL PLUMBING 01·00·00-8222 ~
EACH GAS SY~ MORE METAL FIREPLACE / ELECTRICAL 01 ·00·00-8223 ,lo ---------
EACH INSTAl.. EA, REPAIR WATER PIPE VENT FAN SING_¢UCT MECHANICAL 01-00·00-8224
EACH VAytfUM BREAKER MEC~T -HOOO/OUCTS MOBILEHOME 01 ·00-00-8225
WAT~ SOFTNEA AHO ION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) <:nt AA n,_nn.nn_Mo~
TOT .t.L MECHANICAL STRONG MOTION 80·92·33·0519 '1, "11 ------i .
TOTAL PLUMBING FIRE SPRINKLERS 01 ·00·00·8227
QTY. ELECTRICAL PERMIT -ISSUE Jrn QTY. SOLAR • ISSUE
PUBLIC FACILITIES FEE 32·00·00·8923
BRIDGE FEE
NEW CONST EA AMP/SWT/BKA COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH ~ STORAGE TANKS Carlsbad 80·92-21-0519 ..
EXIST BLOG EA AMP/SWT/BKR 7-a) Fr--i/J-ROCK STORAGE Encinitas 80·92·22·0519
1 PH 3 PH PUMP San OieQuito 80·92·23·0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24·0519
TEMP POLE 200 AMPS I -----,,.-
OVER 200 AMPS --
TEMP OCCUPANCY (30 OAYS) ~ ' --->-------
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I q~,, g..,_ V.
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND 00 HEREBY E,cpindlon Every permit 111Ued by the Building Offlciat un-lhe prov1sion1 oflfllt * AN OSHA P£AMIT IS IIEQUIAED FOR EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code 1hatl exp,,e by ltmttetion and becOme nuH and void If lhe building or-rk S' O" DEEP AND DEMOUTION OR CONSTNJCT10N OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit II not commenced w1th1n 180 days from the date of such STAUCTUAf~ OVER 3 STORIES IN HEIGHT permit or 1IJ!:!! bulldu~ __ <>< wort< authorized by such permit 11 auapended or an lhe work ,, commenced for a ""nod of 1llil .... u.
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ISSUED: TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON-
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT t ALSO AGREE TO SAVE INDEMNIFY AND ~'l)At 0 CONTRACTOR 0
Al:~ l~/51,,v KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS, COSTS AND APPLI NT T E • OWNER
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE~ '/ ~ BY PHONE 0 D • ~ GRANTING OF THIS PERMIT ~ _._
....,. .... 7
INSPECTION TYPE DATE INSPECTOR 8:2-lfs;/o ~ ------.... BUILDING ;:(""\ -
~ ~ FIELD INSPECTION RECORD
FOUNDATION .---
REINFORCED STEEL ~ ,.,-. REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -vv INSPECTION REQ IF INSPECTOR'S DATE MASONRY CHECKED APPROVAL -.
GUNITE OR GROUT oa, roo ~ ~ -shiJ: ,~ SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME PRIOR TO s~Jo~, FOUNDATION INSP
SHEATHING STRUCTURAL CONCRETE R fj Cc../ I.IP .a";,_2. / _-l A;// /.J_ 1)/c.4~ -FRAME OVER 2000 PSI
I ri?-~ -
EXTERIOR LATH lNSULATION PRESTRESSED
I CONCRETE "" INTERIOR LATH & DRYWALL POST TENSIONED ~/-e..'--, Rcl/J::....,;J i=,// {_t..~ _) ~~ CONCRETE
PLUMBING I ~ v~ r Yf FIELD WELDING d/9/ -:J SEWER AND BL/CO HIGH STRENGTH ' c-,-r ,,
PLUMBING UNDERGROUND BOLTS .
PLUMBING TOP OUT SPECIAL MASONRY
TUB AND $HOWER PAN . GAS TEST , PILES CAISSONS . ELECTRICAL
TEMPORARY POWER .
EttECTRIC UNDERGROUND -
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING --
G. F_ I. -SMOKE DETECTOR I
MECHANICAL --
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS . 1 • , \
-,CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ... -~ ITEMS ABOVE HAVE BEEN APPROVED. -I
JOB SITE FINAL I \ I ' PLUMBING • j ,""'7 \/:' .
ELECTRICAL I UV1 y' .i/J ' I , WV ~, MECHANICAL .., (/// --------
GAS Ill /J ~ .,.II
\ -,-. 1 . . --· 111 -./ V ; ... -BUILDING
SPECIAL CONDITIONS I ---
CERT OF or.cuPANCY ISSUED II -( j '""j,L
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